Individual provider Active NPI

Adam M Weitzman, MD

  • Interventional Pain Medicine Physician
  • Torrance, CA
National Provider Identifier
1396800488
Registry record updated May 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
A121616 Issued in CA
Practice address
1231 Cabrillo Ave Ste 205
Torrance, CA 90501-2867
Phone
(310) 543-7779
NPI assigned
Dec 27, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 7, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine Physician 208VP0014X A121616 CA Primary
Internal Medicine Physician 207R00000X MT188153 PA

Addresses

Primary practice location

1231 Cabrillo Ave Ste 205
Torrance, CA 90501-2867

Mailing address

1231 Cabrillo Ave Ste 205
Torrance, CA 90501-2867
Phone (310) 543-7779

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130813000456 CA Practitioner - AnesthesiologyPractitioner - Pain Management 7810139300 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: Pain Management
Education
JS Weill Medical College, Cornell University, 2006
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Goodlife Physical Medicine CorpGroup PAC ID 0446542922, 11 clinicians

Practice addresses (Care Compare)

1300 S Pacific Coast Hwy
Suite 201
Redondo Beach, CA 90277-5003
Phone (310) 543-7779

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MT188153PAMDInternal Medicine Physician
A121616CAMDInterventional Pain Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Goodlife Physical Medicine Corp CurrentSince Jan 4, 2018 Accepting new patients
Goodlife Surgery Center LLC Current Accepting new patients
Goodlife Physical Medicine Corp CurrentSince Jan 4, 2018 Accepting new patients
Oc Surgical Support LLC PastSince Oct 29, 2023 Accepting new patients

Locations

2218 E Maple Ave
El Segundo, CA 90245
Phone (310) 543-7779

1300 S Pacific Coast Hwy
Ste 201
Redondo Beach, CA 90277
Phone (310) 543-7779

2365 Seal Beach Blvd
Ste 101
Seal Beach, CA 90740
Phone (310) 543-7779

1231 Cabrillo Ave
Ste 205
Torrance, CA 90501
Phone (310) 543-7779

1231 Cabrillo Ave
Ste 201A
Torrance, CA 90501
Phone (310) 295-0033

1231 Cabrillo Ave
Ste 203
Torrance, CA 90501
Phone (310) 543-7779

Interoperability endpoints

  • Direct secure messaging: adam.weitzman.1@22164.direct.athenahealth.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557187200000",
    "number": "1396800488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1231 CABRILLO AVE STE 205",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905012867",
            "telephone_number": "310-543-7779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1231 CABRILLO AVE STE 205",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905012867",
            "telephone_number": "310-543-7779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEITZMAN",
        "first_name": "ADAM",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-27",
        "last_updated": "2019-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "CA",
            "license": "A121616",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MT188153",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrance, CA

Sources for this page

Verify at the official NPI Registry.